More than 5,000 emergency drills, successful switching of zero-point information, synchronous adjustment of prices of six major medical items, and cancellation of consumables addition in medical institutions … … At 0: 00 today, with the successful switching of the information system of Beijing Tiantan Hospital, tens of thousands of medical projects in the hospital were adjusted simultaneously. At the same time, all hospitals in the city that need information transformation have completed system switching, and nearly 3,700 medical institutions have officially entered a new stage of comprehensive reform of medical consumption linkage.
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The first checklist was issued at 0: 00 sharp after the medical reform.
At 23: 20 yesterday, 68-year-old Uncle Guo came to Beijing Tiantan Hospital. At this time, the medical reform system is preparing to switch, but the hospital has not stopped the diagnosis and treatment, consultation, physical examination and electrocardiogram … … "To basically judge the patient’s bronchitis, the tests that need to be done include blood gas analysis, blood routine and chest X-ray." Guo Wei, director of the emergency department of Tiantan Hospital affiliated to Capital Medical University, said.
At this time, in the conference room on the other floor, the staff from all departments of the hospital concentrated on the temporarily established "headquarters" for the comprehensive reform of medical consumption linkage in Tiantan Hospital, and they were busy in an orderly manner.
At about 23: 30, Wang Yongjun, executive vice president of Beijing Tiantan Hospital, issued an instruction: "All departments shut down and the information system was officially switched."
In order to minimize the impact on patients’ medical treatment, the medical department, outpatient department, emergency department, nursing department, pathology department, laboratory, finance department, information department, pharmacy department and other departments of Beijing Tiantan Hospital have jointly formulated a detailed emergency plan, which includes that all emergency patients who come to see a doctor during the system switching time will be treated first, then registered, paid, and unconditionally guaranteed rescue medication. Jiang Yue, director of the Medical Department of Beijing Tiantan Hospital, introduced that the comprehensive reform of medical consumption linkage standardized the adjustment of medical service price items, and the project portfolio needed by the hospital itself, the information system switching involved more than 10,000 items.
At 23: 40, the progress bar of information system switching came to the end. "The database is running normally." Wang Tao, director of the Information Center of Beijing Tiantan Hospital, reported to the headquarters.
"The verification and review of the medical insurance system have been completed and the update has been successful."
"The emergency system is working normally!"
"The ward system is operating normally!"
At 0: 00 on June 15th, Wang Yongjun announced: "Beijing Tiantan Hospital’s comprehensive reform information system of medical consumption linkage has been successfully switched!"
At the same time when the switch was successful, Uncle Guo’s checklist was typed out, which showed: 00:00:36. He also became the first checklist issued by Beijing Tiantan Hospital after the information system of comprehensive reform of medical consumption linkage was switched.
What’s the change in price? Guo Wei looked at the checklist and said, "Blood gas analysis used to be in 60 yuan, but now it’s in 40 yuan. The chest film used to be 109 yuan, but now it’s 106 yuan. The inspection category is mainly price reduction. "
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Before and after switching, the service is uninterrupted.
Last night, the city leaders and relevant departments were on duty at the general dispatching desk of the comprehensive reform of medical consumption linkage, and the 16 districts were on duty at the regional dispatching desks to monitor the progress of the reform tasks of the participating institutions, the results of information system switching, the settlement of medical insurance, and the printing of settlement documents for implementing new prices in real time, and coordinate and solve problems.
It is reported that among the nearly 3,700 medical institutions participating in the medical reform, 2,624 need to transform their information systems. Last night, all medical services and new prices of consumables were introduced into the information systems of medical institutions, and nearly 5,000 emergency prevention drills were carried out successively.
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Medical consumables "purchase price" to patients
The core of this reform is to further rationalize the price-comparison relationship of medical services, covering six categories of projects, including surgery, inspection, traditional Chinese medicine, pathology, rehabilitation and psychiatry. At the same time, the "price increase" of medical consumables that lasted for many years was cancelled, and "selling drugs and using consumables" was changed to "improving services and standardizing services".
The main content can be summarized as "five ones", that is, "one reduction" to reduce the price of inspection items carried out by instruments and equipment; "One promotion" means raising the prices of items that reflect the labor value of medical staff, such as traditional Chinese medicine, pathology, psychiatry, rehabilitation and surgery; "Cancel", cancel the 5% or 10% price increase policy of medical consumables in medical institutions, and charge according to the purchase price of medical consumables; "One procurement", the implementation of joint procurement of medical consumables and procurement of drugs with quantity; "One improvement", improving medical services and strengthening comprehensive supervision.
Text/reporter Zhang Xiaomei
Photography/Our reporter Hao Yi